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Medical News & Perspectives July 19, 2017 In Treating Sepsis, Questions About Timing and Mandates Jennifer Abbasi JAMA. Published online July 19, 2017. doi:10.1001/jama.2017.7997 In 2012, Rory Staunton, a 12-year-old boy from Queens, New York, died from sepsis after his pediatrician and an emergency department (ED) physician reportedly misinterpreted warning signs—a high fever and vomiting, but also a cut on his arm, and severe leg pain—as an intestinal illness and...
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[编者按]:自从各大医院的比拼指标从床位数及总收入转变为发表论文数后,在高影响因子杂志发表论文的现金奖励已经成为业内共识。这种政策的出台的确鼓励临床医生投入更多精力从事科研,但是,现金奖励政策真的能够催生好的科研吗?这一政策对科研工作有何潜在影响? Business Impact The Truth about China’s Cash-for-Publication Policy The first study of payments to Chinese scientists for publishing in high-impact journals has serious implications for the future of research by Emerging Technolog...
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[编者按]:文章是ICU Management & Practice对匹兹堡大学Jemery M. Kahn教授的采访记录。他对于重症医学未来发展的观点与众不同,或许对读者有另一方面的提示意义。 What’s the future of intensive care medicine? Jemery M. Kahn, MD, MS Professor of Critical Care Medicine and Health Policy & Management University of Pittsburgh School of Medicine and Graduate School of Public Health Pittsburgh, USA Over time, I think we are going to recognise that we can’t continue to develop...
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Observations The Art of Risk Communication Can search engine data predict pancreatic cancer? Gerd Gigerenzer BMJ 2017; 358 doi: https://doi.org/10.1136/bmj.j3159 (Published 03 July 2017) Cite this as: BMJ 2017;358:j3159   Imagine this warning popping up on your search engine page: “Attention! There are signs that you might have pancreatic cancer. Please visit your doctor immediately.” Just as search engines use big data analytics to detect your book and music ...
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News & Perspective > Critical Issues COMMENTARY What Happens to Patients After They Leave the ICU Aaron B. Holley, MD June 08, 2017 Joblessness and Lost Earnings After ARDS in a 1-Year National Multicenter Study Kamdar BB, Huang M, Dinglas VD, et al; National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome Network Am J Respir Crit Care Med. 2017 Apr 27. [Epub ahead of print] Background 背景 When designing a study in the intensive care unit...
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News & Perspective > Society for Healthcare Epidemiology of America (SHEA) > Expert Commentaries Treatment of Suspected VAP: When Shorter Is Better John A. Sellick, DO, MS May 31, 2017 Which VAP Patients Don't Need a Full Course of Antibiotics? 哪些VAP患者无需接受完整疗程抗生素治疗? Patients with suspected ventilator-associated pneumonia (VAP) are frequently started on empirical antibiotics, yet definitive diagnosis of VAP may not be made. Can antibiotics be...
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Recommended Reading from the University of Ottawa Nephrology Fellows David Massicotte-Azarniouch, Syed Obaid Amin, Caitlin Hesketh and Edward G. Clark AJRCCM Articles in Press. Published on 02-May-2017 as 10.1164/rccm.201611-2375RR Bitker L, et al.; Prevalence and risk factors of hypotension associated with preload-dependence during intermittent hemodialysis in critically ill patients. Crit Care (10) Reviewed by Caitlin Hesketh Intradialytic hypotension (IDH) is a common ...
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Recommended Reading from the University of Ottawa Nephrology Fellows David Massicotte-Azarniouch, Syed Obaid Amin, Caitlin Hesketh and Edward G. Clark AJRCCM Articles in Press. Published on 02-May-2017 as 10.1164/rccm.201611-2375RR Zarbock et al. Effect of Early vs Delayed Initiation of Renal Replacement Therapy on Mortality in Critically Ill Patients With Acute Kidney Injury: The ELAIN Randomized Clinical Trial. JAMA (6) Reviewed by Syed Obaid Amin The Effect of Early vs...
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Recommended Reading from the University of Ottawa Nephrology Fellows David Massicotte-Azarniouch, Syed Obaid Amin, Caitlin Hesketh and Edward G. Clark AJRCCM Articles in Press. Published on 02-May-2017 as 10.1164/rccm.201611-2375RR Gaudry S, et al.; Initiation strategies for renal-replacement therapy in the intensive care unit. N Engl J Med (1) Reviewed by David Massicotte-Azarniouch Meta-analyses of mainly observational studies have shown relatively earlier initiation of...
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Comment & Response May 9, 2017 Use of the qSOFA Score in the Emergency Department—Reply Yonathan Freund, Ben Bloom, Bruno Riou JAMA. 2017;317(18):1910. doi:10.1001/jama.2017.3511 In Reply Dr Scheer and colleagues have 3 concerns about our study: questionable definitions, inconsistent methods, and a data set that includes missing values. The definition of “severe sepsis” that we used may not capture all patients in this category, particularly those with organ dysfunc...
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